The following information should be read in conjunction with the unaudited
financial information and the notes thereto included in this Quarterly Report on
Form 10-Q and the audited financial information and the notes thereto included
in our Annual Report on Form 10-K, which was filed with the Securities and
Exchange Commission, or the SEC, on February 18, 2020.
Except for the historical information contained herein, the matters discussed in
this Quarterly Report on Form 10-Q may be deemed to be forward-looking
statements that involve risks and uncertainties. We make such forward-looking
statements pursuant to the safe harbor provisions of the Private Securities
Litigation Reform Act of 1995 and other federal securities laws. In this
Quarterly Report on Form 10-Q, words such as "may," "expect," "anticipate,"
"estimate," "intend," "plan," and similar expressions (as well as other words or
expressions referencing future events, conditions or circumstances) are intended
to identify forward-looking statements.
Our actual results and the timing of certain events may differ materially from
the results discussed, projected, anticipated, or indicated in any
forward-looking statements. We caution you that forward-looking statements are
not guarantees of future performance and that our actual results of operations,
financial condition and liquidity, and the development of the industry in which
we operate may differ materially from the forward-looking statements contained
in this Quarterly Report. In addition, even if our results of operations,
financial condition and liquidity, and the development of the industry in which
we operate are consistent with the forward-looking statements contained in this
Quarterly Report, they may not be predictive of results or developments in
future periods.
The following information and any forward-looking statements should be
considered in light of factors discussed elsewhere in this Quarterly Report on
Form 10-Q, including those risks identified under Part II, Item 1A. Risk
Factors.
We caution readers not to place undue reliance on any forward-looking statements
made by us, which speak only as of the date they are made. We disclaim any
obligation, except as specifically required by law and the rules of the SEC, to
publicly update or revise any such statements to reflect any change in our
expectations or in events, conditions or circumstances on which any such
statements may be based, or that may affect the likelihood that actual results
will differ from those set forth in the forward-looking statements.
Overview
We are a biotechnology company committed to researching, developing, and
commercializing potentially transformative gene therapies for severe genetic
diseases and cancer. We have built an integrated product platform with broad
therapeutic potential in a variety of indications based on our lentiviral gene
addition platform, gene editing and cancer immunotherapy capabilities. We
believe that gene therapy for severe genetic diseases has the potential to
change the way patients living with these diseases are treated by addressing the
underlying genetic defect that is the cause of their disease, rather than
offering treatments that only address their symptoms. Our gene therapy programs
include LentiGlobin for ?-thalassemia; LentiGlobin for SCD; and Lenti-D for
CALD. Our programs in oncology are focused on developing novel T cell-based
immunotherapies, including CAR and TCR T cell therapies. bb2121 (idecabtagene
vicleucel, or ide-cel), and bb21217 are CAR-T cell product candidates for the
treatment of multiple myeloma and partnered under our collaboration arrangement
with BMS.

We are commercializing ZYNTEGLO in the European Union and expect to begin to
generate product revenue in the second half of 2020. We are engaged with the
European Medicines Agency, or EMA, in discussions regarding our proposed
development plans for ZYNTEGLO as a treatment for patients with TDT who are less
than 12 years of age and for patients who have a ?0/?0 genotype. We are engaged
with the U.S. Food and Drug Administration, or FDA, in discussions regarding our
proposed development plans for LentiGlobin as a treatment for patients with TDT.
We currently expect to complete our BLA submission for LentiGlobin for
?-thalassemia for the treatment of patients with TDT in mid-2021.
Based on our discussions with the FDA, we believe that we may be able to seek
accelerated approval for LentiGlobin for SCD in the United States on the basis
of clinical data from Group C of our ongoing HGB-206 clinical study, with a
potential first submission in the second half of 2021, and with our ongoing
HGB-210 clinical study providing confirmatory data for full approval. We are
also engaged with the EMA in discussions regarding our proposed development
plans for LentiGlobin for SCD in Europe.
Based on our discussions with the FDA and EMA, we believe that we may be able to
seek approval for our Lenti-D product candidate for the treatment of patients
with CALD on the basis of our clinical data from our ongoing Starbeam study,
safety data from our ongoing ALD-104 study, and the completed ALD-103
observational study. We expect to submit a
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Marketing Authorization Application in the EU for Lenti-D for CALD by year-end
2020. We expect to submit the BLA for Lenti-D for CALD in mid-2021.
In collaboration with BMS (which acquired Celgene in November 2019), we are
developing the ide-cel and bb21217 product candidates as treatments for multiple
myeloma, a hematologic malignancy that develops in the bone marrow and is fatal
if untreated. We are co-developing and co-promoting ide-cel in the United States
with BMS and we have exclusively licensed to BMS the development and
commercialization rights for ide-cel outside of the United States. In the first
quarter of 2020, BMS submitted the BLA for ide-cel as a treatment for relapsed
and refractory multiple myeloma. We have exclusively licensed the development
and commercialization rights for the bb21217 product candidate to BMS, with an
option for us to elect to co-develop and co-promote bb21217 within the United
States. Refer to Note 13, Subsequent events, in the Notes to Condensed
Consolidated Financial Statements for discussion of the May 2020 amendments to
the BMS arrangement.
Since our inception in 1992, we have devoted substantially all of our resources
to our development efforts relating to our product candidates, including
activities to manufacture product candidates in compliance with good
manufacturing practices, or GMP, to conduct clinical studies of our product
candidates, to provide selling, general and administrative support for these
operations and to protect our intellectual property. We have not generated any
revenue from product sales. We have funded our operations primarily through the
sale of common stock in our public offerings, private placements of preferred
stock and warrants, and through collaborations.
As of March 31, 2020, we had cash, cash equivalents and marketable securities of
approximately $1.02 billion. We have never been profitable and have incurred net
losses in each year since inception. Our net loss was $202.6 million for the
three months ended March 31, 2020, and our accumulated deficit was $2.48 billion
as of March 31, 2020. Substantially all of our net losses resulted from costs
incurred in connection with our research and development programs and from
selling, general and administrative costs associated with our operations. We
expect to continue to incur significant expenses and operating losses for at
least the next several years. We expect our expenses will increase substantially
in connection with our ongoing and planned activities, as we:
•conduct clinical studies for our clinical programs in ?-thalassemia, SCD, and
ALD, fund our share of the costs of clinical studies for our program in multiple
myeloma in collaboration with BMS, and advance our preclinical programs into
clinical development;
•increase research and development-related activities for the discovery and
development of product candidates in severe genetic diseases and oncology;
•manufacture clinical study materials and establish the infrastructure necessary
to support and develop large-scale manufacturing capabilities;
•seek regulatory approval for our product candidates;
•add personnel to support our product development and commercialization efforts;
and
•increase activities leading up to the commercial launch of ZYNTEGLO in multiple
markets.
We do not expect to generate revenue from product sales until the second half of
2020. While we are in the process of completing construction and qualification
of our internal lentiviral vector manufacturing capacity, currently all of our
manufacturing activities are contracted out to third parties. Additionally, we
currently utilize third-party contract research organizations, or CROs, to carry
out our clinical development activities. As we seek to obtain regulatory
approval for our product candidates and begin to commercialize ZYNTEGLO, we
expect to incur significant commercialization expenses as we prepare for product
sales, marketing, manufacturing, and distribution. Accordingly, until we
generate significant revenues from product sales, we will seek to fund our
operations through public or private equity or debt financings, strategic
collaborations, or other sources. However, we may be unable to raise additional
funds or enter into such other arrangements when needed on favorable terms or at
all. Our failure to raise capital or enter into such other arrangements as and
when needed would have a negative impact on our financial condition and our
ability to develop our products.
Because of the numerous risks and uncertainties associated with product
development, we are unable to predict the timing or amount of increased expenses
or when or if we will be able to achieve or maintain profitability. Even if we
are able to generate revenues from the sale of our products, we may not become
profitable. If we fail to become profitable or are unable to sustain
profitability on a continuing basis, then we may be unable to continue our
operations at planned levels and be forced to reduce our operations.
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Impact of the COVID-19 pandemic on our business
Beginning in late 2019, the outbreak of a novel strain of coronavirus (COVID-19)
has evolved into a global pandemic. As a result, we are experiencing disruptions
and increased risk in our operations and those of third parties upon whom we
rely, which may materially and adversely affect our business. These include
disruptions and risks related to the conduct of our clinical trials and
commercialization efforts, as policies at various clinical sites and federal,
state, local and foreign laws, rules and regulations continue to evolve,
including quarantines, travel restrictions, and direction of healthcare
resources toward pandemic response efforts. We currently expect the COVID-19
pandemic to delay the timing of patient enrollment and treatment in our ongoing
clinical studies by at least three months, which may vary by clinical study and
by program. It is unknown how long these disruptions could continue. In
addition, we expect the COVID-19 pandemic to impact our ability to achieve
market access and reimbursement for ZYNTEGLO in Europe due to shifting
priorities of the local authorities and healthcare system.
We continue to evaluate the impact of the COVID-19 global pandemic on patients,
healthcare providers and our employees, as well as our operations and the
operations of our business partners and healthcare communities. In response to
the COVID-19 pandemic, since early March 2020 we have restricted on-site staff
at our locations worldwide to only those personnel and contractors who are
performing essential activities that must be completed on-site and we have
limited the number of staff in any given research and development laboratory;
our remaining personnel are adhering to a work-from-home policy. Given the
importance of supporting our patients, we are diligently working with our
suppliers, healthcare providers and partners to provide patients with access to
ZYNTEGLO, while taking into account regulatory, institutional, and government
guidance, policies and protocols. Further, we are working with our clinical
study sites to understand the duration and scope of the impact on enrollment and
other activities for our ongoing clinical studies.
Given the ongoing impact of the COVID-19 global pandemic and recent shifts in
regulatory timelines, we have undertaken a comprehensive business review with
the goal of ensuring the ability to achieve our 2022 vision with a path towards
financial sustainability. Under our revised business priorities and operating
plan, we remain on track for potential regulatory approval and commercial launch
for ZYNTEGLO, ide-cel, Lenti-D for CALD, and LentiGlobin for SCD by 2022.
Through this comprehensive business review, we have prioritized our key research
and development programs and have made a number of changes to our future cost
structure relative to our prior long-range plan, including:
•Reduced investment in selling, general and administrative expenses, including a
deferred investment in building a commercial organization in the United States,
reduced facilities and IT infrastructure, and other cost-reduction measures;
•Prioritized investment in research and development expenses, including an
indefinite pause of our planned HGB-211 clinical study in SCD patients at high
risk of stroke, adjustment of the timing of investment in ongoing clinical
studies to reflect COVID-19 related delays in enrollment, reduction or
elimination of investment in certain preclinical programs, and other
cost-reduction measures; and
•Our chief executive officer will decline 100% of his salary for the next twelve
months. Similarly, additional members of our senior leadership team and all
members of our Board of Directors will forgo 20% of their salaries or Board cash
retainers for the next twelve months. All will receive a grant of restricted
stock units equal to 80% of the value of the released cash compensation, which
will vest over one year.
In total, these changes are expected to result in over $500.0 million of net
cash savings through 2022 compared to our prior long-range plan. As a result, we
expect our cash, cash equivalents, and marketable securities of $1.02 billion as
of March 31, 2020, together with projected revenue generated under our
collaborative arrangements, projected sales of products and cash inflows
associated with our amended and restated agreements with BMS, to fund our
revised operating plan into 2022. We expect to continue to drive additional
savings through rigorous prioritization and focus on expenses, real estate
optimization, and exploration of additional sources of funding to further
strengthen our financial position. We discuss the amended BMS agreements in
greater detail in Part II, Item 5. Other Information of this Quarterly Report on
Form 10-Q as well as in Note 13, Subsequent events, in the Notes to Condensed
Consolidated Financial Statements.
However, the internal and external costs of executing on our revised operating
plan may be higher than expected, including as a result of challenges
encountered in the course of planned activities. Additionally, projected revenue
generated under our collaborative arrangements, projected sales of products and
cash inflows associated with our amended and restated agreements with BMS may be
less than expected. The ultimate impact of the COVID-19 pandemic on our business
operations is highly uncertain and subject to change and will depend on future
developments which are difficult to predict, including the duration of the
pandemic, the ultimate geographic spread of the disease, additional or modified
government actions, new information that will emerge concerning the severity and
impact of the COVID-19 pandemic and other actions taken to contain or address
its
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impact in the short and long term, among others. We do not yet know the full
extent of potential delays or impacts on our business, our commercialization
efforts, our clinical studies, our research programs, healthcare systems or the
global economy.
Financial operations overview
Revenues
To date, we have not generated any revenues from the sale of products. Our
revenues have been derived from collaboration arrangements, out-licensing
arrangements, research fees, and grant revenues.
To date, revenue recognized under our collaborative arrangements has been
primarily generated from our collaboration arrangement with BMS. The terms of
the arrangement with respect to ide-cel contain multiple promised goods or
services, which include at inception: (i) research and development services,
(ii) a license to ide-cel, and (iii) manufacture of vectors and associated
payload for incorporation into ide-cel under the license. As of September 2017,
the collaboration also included the following promised goods or services with
respect to bb21217: (i) research and development services, (ii) a license to
bb21217, and (iii) manufacture of vectors and associated payload for
incorporation into bb21217 under the license. In March 2018, we entered into an
agreement with BMS to co-develop and co-promote ide-cel in which both parties
will share equally in U.S. costs and profits. Revenue from our collaborative
arrangements is recognized as the performance obligations are satisfied.
We analyze our collaboration arrangements to assess whether they are within the
scope of ASC 808, Collaborative Arrangements ("ASC 808") to determine whether
such arrangements involve joint operating activities performed by parties that
are both active participants in the activities and exposed to significant risks
and rewards dependent on the commercial success of such activities. This
assessment is performed throughout the life of the arrangement based on changes
in the responsibilities of all parties in the arrangement. For collaboration
arrangements within the scope of ASC 808, we first determine which elements of
the collaboration are deemed to be within the scope of ASC 808 and those that
are more reflective of a vendor-customer relationship and therefore within the
scope of ASC 606, Revenue from Contracts with Customers ("Topic 606" or "ASC
606"). For elements of collaboration arrangements that are accounted for
pursuant to ASC 808, an appropriate recognition method is determined and applied
consistently, generally by analogy to Topic 606. Amounts that are owed to
collaboration partners are recognized as an offset to collaborative arrangement
revenues as such amounts are incurred by the collaboration partner. Where
amounts owed to a collaboration partner exceed our collaborative arrangement
revenues in a quarterly period, such amounts in excess are classified as
research and development expense. For those elements of the arrangement that are
accounted for pursuant to Topic 606, we apply the five-step model prescribed in
Topic 606.
Effective January 1, 2020, we adopted Accounting Standards Update ("ASU") No.
2018-18, Collaborative Arrangements (Topic 808): Clarifying the Interaction
between Topic 808 and Topic 606 ("ASU 2018-18") on a retrospective basis. As a
result, prior periods are presented in accordance with the new standard. Prior
to the adoption of ASU 2018-18, we presented all revenue recognized under our
collaborative arrangements as collaboration revenue on our condensed
consolidated statement of operations and comprehensive loss. However, as we
recognize revenue under our collaborative arrangements both within and outside
the scope of Topic 606, we have revised our presentation of revenue on our
condensed consolidated statement of operations and comprehensive loss as
follows: service revenue includes revenue from collaborative partners recognized
within the scope of Topic 606 and collaborative arrangement revenue includes
only revenue from collaborative partners recognized outside the scope of Topic
606.
Nonrefundable license fees paid to us are recognized as revenue upon delivery of
the license provided there are no unsatisfied performance obligations in the
arrangement. License revenue has historically been generated from our
out-license agreements with Novartis Pharma AG, or Novartis, and Orchard
Therapeutics Limited, or Orchard. Under our out-licensing agreements we may also
recognize revenue from potential future milestone payments and royalties. We may
also receive potential future milestone payments and royalties from our
non-exclusive out-license agreement with BMS executed on May 8, 2020.
For arrangements with licenses of intellectual property that include sales-based
royalties, including milestone payments based on the level of sales, and the
license is deemed to be the predominant item to which the royalties relate, we
recognize revenue at the later of (i) when the related sales occur, or (ii) when
the performance obligation to which the royalty has been allocated has been
satisfied.
Research and development expenses
Research and development expenses consist primarily of costs incurred for the
development of our product candidates, which include:
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•employee-related expenses, including salaries, benefits, travel and stock-based
compensation expense;
•expenses incurred under agreements with CROs and clinical sites that conduct
our clinical studies;
•costs of acquiring, developing, and manufacturing inventory;
•reimbursable costs to our partners for collaborative activities;
•facilities, depreciation, and other expenses, which include direct and
allocated expenses for rent and maintenance of facilities, information
technology, insurance, and other supplies in support of research and development
activities;
•costs associated with our research platform and preclinical activities;
•milestones and upfront license payments;
•costs associated with our regulatory, quality assurance and quality control
operations; and
•amortization of intangible assets.
Research and development costs are expensed as incurred. Costs for certain
development activities are recognized based on an evaluation of the progress to
completion of specific tasks using information and data provided to us by our
vendors and our clinical sites. We cannot determine with certainty the duration
and completion costs of the current or future clinical studies of our product
candidates or if, when, or to what extent we will generate revenues from the
commercialization and sale of any of our product candidates that obtain
regulatory approval. We may not succeed in achieving regulatory approval for all
of our product candidates. The duration, costs, and timing of clinical studies
and development of our product candidates will depend on a variety of factors,
any of which could mean a significant change in the costs and timing associated
with the development of our product candidates including:
•the scope, rate of progress, and expense of our ongoing as well as any
additional clinical studies and other research and development activities we
undertake;
•future clinical study results;
•uncertainties in clinical study enrollment rates;
•new manufacturing processes or protocols that we may choose to or be required
to implement in the manufacture of our lentiviral vector or drug product;
•regulatory feedback on requirements for regulatory approval, as well as
changing standards for regulatory approval; and
•the timing and receipt of any regulatory approvals.
We plan to continue to invest in research and development for the foreseeable
future as we continue to advance the development of ZYNTEGLO in Europe,
LentiGlobin for TDT in the United States, LentiGlobin for SCD, Lenti-D, and
bb21217 product candidates, conduct research and development activities in
severe genetic diseases and oncology, fund our share of the costs of development
of ide-cel in collaboration with BMS, and continue the research and development
of product candidates using our gene editing technology platform. Our research
and development expenses include expenses associated with the following
activities:
•Northstar-2 Study (HGB-207) - a multi-site, international phase 3 study to
examine the safety and efficacy of ZYNTEGLO in the treatment of patients with
TDT and a non-?0/?0 genotype.
•Northstar-3 Study (HGB-212) - a multi-site, international phase 3 study to
examine the safety and efficacy of ZYNTEGLO in the treatment of patients with
TDT and a ?0/?0 genotype or an IVS-I-110 mutation.
•HGB-206 study - a multi-site phase 1/2 study in the United States to study the
safety and efficacy of LentiGlobin in the treatment of patients with SCD.
•HGB-210 study - our multi-site, international phase 3 study of LentiGlobin in
patients with SCD and a history of vaso-occlusive events.
•Starbeam Study (ALD-102) - a multi-site, international phase 2/3 study to
examine the safety and efficacy of our Lenti-D product candidate in the
treatment of patients with CALD.
•ALD-104 study - our multi-site, international phase 3 study to examine the
safety and efficacy of our Lenti-D product candidate after myeloablative
conditioning using busulfan and fludarabine in the treatment of patients with
CALD.
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•CRB-401 study - an open label, single-arm, multi-center, phase 1 study to
examine the safety and efficacy of ide-cel in the treatment of patients with
relapsed and refractory multiple myeloma.
•KarMMA study - an open label, single-arm, multi-center phase 2 study to examine
the efficacy and safety of ide-cel in the treatment of patients with relapsed
and refractory multiple myeloma.
•KarMMa-2 - a multi-cohort, open-label, multicenter phase 2 study to examine the
safety and efficacy of ide-cel in the treatment of patients with relapsed and
refractory multiple myeloma and in high-risk multiple myeloma
•KarMMa-3 - a multicenter, randomized, open-label phase 3 study comparing the
efficacy and safety of ide-cel versus standard triplet regimens in patients with
relapsed and refractory multiple myeloma.
•KarMMa-4 -, a multi-cohort, open-label, multicenter phase 1 study intended to
determine the optimal target dose and safety of ide-cel in subjects with
newly-diagnosed multiple myeloma
•CRB-402 study - an open label, single-arm, multicenter, phase 1 study to
examine the safety and efficacy of the bb21217 product candidate in the
treatment of patients with relapsed and refractory multiple myeloma.
•We will continue to incur costs related to the manufacture of clinical study
materials in support of our clinical studies.
Under our revised operating plan we have prioritized investment in research and
development expenses, including an indefinite pause of the planned HGB-211
clinical study of LentiGlobin for SCD in the treatment of patients with SCD and
an elevated stroke risk. We also expect that the timing of investment in our
ongoing clinical studies will reflect COVID-19 related delays in enrollment and
patient treatment in our HGB-206 and HGB-210 clinical studies, as well as in the
KarMMa-2, KarMMa-3, and KarMMa-4 clinical studies of ide-cel sponsored by BMS.
In addition, we have reduced or eliminated investment in certain preclinical
programs, including certain academic collaborations in early pipeline
activities, and implemented other cost-reduction measures.
Our direct research and development expenses consist principally of external
costs, such as fees paid to investigators, consultants, central laboratories and
CROs in connection with our clinical studies, and costs related to acquiring and
manufacturing clinical study materials. We allocate salary and benefit costs
directly related to specific programs. We do not allocate personnel-related
discretionary bonus or stock-based compensation costs, costs associated with our
general discovery platform improvements, depreciation or other indirect costs
that are deployed across multiple projects under development and, as such, the
costs are separately classified as other research and development expenses in
the table below:
                                                                 For the
                                                       three months ended March 31,
                                                       2020                       2019
                                                              (in thousands)
LentiGlobin (including ZYNTEGLO)(1)             $       36,881                $  31,846
Lenti-D                                                  7,813                    8,686
Ide-cel                                                 31,162                   19,791
bb21217                                                  6,071                    4,486
Preclinical programs                                    17,450                   11,329
Total direct research and development expense           99,377              

76,138


Employee-and contractor-related expenses                15,904              

10,518


Stock-based compensation expense                        16,269                   15,516
Platform-related expenses                                5,017                    4,627
Facility expenses                                       16,752                   14,619
Other expenses                                             804                    1,222
Total other research and development expenses           54,746              

46,502


Total research and development expense          $      154,123

$ 122,640




(1)Following our receipt of conditional approval for the marketing authorization
of ZYNTEGLO by the European Commission in June 2019, all manufacturing costs
associated with the production of LentiGlobin produced for use in the commercial
sale of ZYNTEGLO in the European Union will be evaluated for capitalization as
inventory on our condensed consolidated balance sheets.
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Selling, general and administrative expenses
Selling, general and administrative expenses consist primarily of salaries and
related costs for personnel, including stock-based compensation and travel
expenses for our employees in executive, operational, finance, legal, business
development, commercial, information technology, and human resource functions.
Other selling, general and administrative expenses include facility-related
costs, professional fees for accounting, tax, legal and consulting services,
directors' fees and expenses associated with obtaining and maintaining patents.
We have reduced projected selling, general and administrative expenses through
both the elimination and deferral of certain costs relative to our prior
long-range plan. This includes a deferred investment in building a commercial
organization in the United States, reduced facilities and IT infrastructure and
related costs for personnel based on our expectations for the timing of
regulatory approvals and potential launch of our product candidates. However, we
anticipate that our selling, general and administrative expenses, including
payroll and sales and marketing expenses, will continue to increase in the
future relative to current levels as we execute on our commercial launch plans
in Europe for ZYNTEGLO, and perform commercial readiness activities in the
United States for our product candidates.
Cost of royalty revenue
Cost of royalty revenue represents expense associated with amounts owed to third
party licensors as a result of revenue recognized under our out-license
arrangement with Novartis.
We anticipate that our cost of royalty revenue will increase in the future,
contingent upon the achievement of regulatory milestones by Novartis or
Orchard. Additionally, we anticipate that our cost of royalty revenue will
increase in the future as we expect to continue to recognize royalty revenue
related to Novartis' commercial sale of tisagenlecleucel.
Change in fair value of contingent consideration
On June 30, 2014, we acquired Precision Genome Engineering, Inc., or
Pregenen. The agreement provided for up to $135.0 million in future contingent
cash payments by us upon the achievement of certain preclinical, clinical and
commercial milestones related to the Pregenen technology.
As of March 31, 2020, there are $120.0 million in future contingent cash
payments, of which $20.1 million relates to clinical milestones and $99.9
million relates to commercial milestones. We estimate future contingent cash
payments have a fair value of $4.9 million as of March 31, 2020, all of which
are classified as a non-current liability on our condensed consolidated balance
sheets.
Interest income, net
For the three months ended March 31, 2020 and 2019, interest income, net
consists primarily of interest income earned on investments.
Other expense, net
Other expense, net consists primarily of losses on equity securities held by us,
losses on disposal of assets, and gains and losses on foreign currency.
Critical accounting policies and estimates
Our management's discussion and analysis of our financial condition and results
of operations are based on our financial statements, which have been prepared in
accordance with generally accepted accounting principles. The preparation of
these financial statements requires us to make estimates and judgments that
affect the reported amounts of assets, liabilities, and expenses and the
disclosure of contingent assets and liabilities in our financial statements. On
an ongoing basis, we evaluate our estimates and judgments, including expected
business and operational changes, sensitivity and volatility associated with the
assumptions used in developing estimates, and whether historical trends are
expected to be representative of future trends. We base our estimates on
historical experience, known trends and events and various other factors that
are believed to be reasonable under the circumstances, the results of which form
the basis for making judgments about the carrying values of assets and
liabilities that are not readily apparent from other sources. Actual results may
differ from these estimates under different assumptions or conditions. In making
estimates and judgments, management employs critical accounting policies. During
the three months ended March 31, 2020, there were no material changes to our
critical accounting policies as reported in our
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Annual Report on Form 10-K for the year ended December 31, 2019, which was filed
with the SEC on February 18, 2020, except as otherwise described in Note 2,
Basis of presentation, principles of consolidation and significant accounting
policies, in the Notes to Condensed Consolidated Financial Statements.
Results of Operations
Comparison of the three months ended March 31, 2020 and 2019:
                                                             For the three months ended
                                                                      March 31,
                                                              2020                  2019               Change
                                                                   (in thousands)
Revenue:
Service revenue                                         $      16,833           $    9,211          $   7,622
Collaborative arrangement revenue                               2,302                1,966                336
Royalty revenue                                                 2,728                1,294              1,434
Total revenues                                                 21,863               12,471              9,392
Operating expenses:
Research and development                                      154,123              122,640             31,483
Selling, general and administrative                            73,248               60,279             12,969
Cost of royalty revenue                                         1,025                  430                595
Change in fair value of contingent consideration               (3,108)                 296             (3,404)
Total operating expenses                                      225,288              183,645             41,643
Loss from operations                                         (203,425)            (171,174)           (32,251)
Interest income, net                                            5,355               10,102             (4,747)
Other expense, net                                             (4,447)              (3,389)            (1,058)
Loss before income taxes                                     (202,517)            (164,461)           (38,056)
Income tax (expense) benefit                                      (94)                  15               (109)
Net loss                                                $    (202,611)          $ (164,446)         $ (38,165)


Revenues. Total revenue was $21.9 million for the three months ended March 31,
2020, compared to $12.5 million for the three months ended March 31, 2019. The
increase of $9.4 million was primarily attributable to an increase in ide-cel
license and manufacturing services revenue under our agreement with BMS, as well
as an increase in royalty revenue.
Research and development expenses. Research and development expenses were $154.1
million for the three months ended March 31, 2020, compared to $122.6 million
for the three months ended March 31, 2019. The overall increase of $31.5 million
was primarily attributable to the following:
•$14.7 million of increased employee compensation, benefit, and other headcount
related expenses, which is primarily driven by an increase in headcount to
support overall growth, including an increase of $0.8 million in stock-based
compensation expense;
•$8.4 million of increased material production, laboratory expenses, and other
platform costs;
•$2.4 million of increased clinical trial costs; and
•$2.2 million of increased consulting fees.
Selling, general and administrative expenses. Selling, general and
administrative expenses were $73.2 million for the three months ended March 31,
2020, compared to $60.3 million for the three months ended March 31, 2019. The
increase of $13.0 million was primarily attributable to the following:
•$13.2 million of increased employee compensation, benefit, and other headcount
related expenses, which is primarily driven by an increase in headcount to
support overall growth, including an increase of $3.2 million in stock-based
compensation expense; and
•$2.1 million of increased costs related to commercial-readiness activities.
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The increased costs were partially offset by $2.8 million of decreased
consulting fees.
Change in fair value of contingent consideration. The change in fair value of
contingent consideration was primarily due to the change in significant
unobservable inputs used in the fair value measurement of contingent
consideration, including the probabilities of successful achievement of clinical
and commercial milestones and discount rates.
Interest income, net. The decrease in interest income, net was primarily related
to decreased interest income earned on investments.
Other expense, net. The increase in other expense, net was primarily related to
changes in fair value of equity securities.
Liquidity and Capital Resources
As of March 31, 2020, we had cash, cash equivalents and marketable securities of
approximately $1.02 billion. We expect our cash, cash equivalents, and
marketable securities, together with projected revenue generated under our
collaborative arrangements, projected sales of products and cash inflows
associated with our amended and restated agreements with BMS, to fund our
revised operating plan into 2022. Cash in excess of immediate requirements is
invested in accordance with our investment policy, primarily with a view to
liquidity and capital preservation. As of March 31, 2020, our funds are
primarily held in U.S. Treasury securities, U.S. government agency securities,
equity securities, certificates of deposit, corporate bonds, commercial paper
and money market accounts.
We have incurred losses and cumulative negative cash flows from operations since
our inception in April 1992, and as of March 31, 2020 we had an accumulated
deficit of $2.48 billion. We expect that our research and development and
selling, general and administrative expenses will continue to increase and, as a
result, we will need additional capital to fund our operations, which we may
raise through public or private equity or debt financings, strategic
collaborations, or other sources. The likelihood of our long-term success must
be considered in light of the expenses, difficulties, and potential delays to be
encountered in the development and commercialization of new pharmaceutical
products, competitive factors in the marketplace and the complex regulatory
environment in which we operate. We may never achieve significant revenue or
profitable operations.
Sources of Liquidity
Cash Flows
The following table sets forth the primary sources and uses of cash for each of
the periods below:
                                                                        For the three months ended
                                                                                 March 31,
                                                                         2020                  2019
                                                                              (in thousands)
Net cash used in operating activities                              $    (206,121)          $ (154,154)
Net cash provided by (used in) investing activities                      224,578              (36,913)
Net cash provided by financing activities                                    963               10,223

Net increase (decrease) in cash, cash equivalents and restricted cash

$      19,420           $ (180,844)


Cash Flows from Operating Activities. The $52.0 million increase in cash used in
operating activities for the three months ended March 31, 2020 compared to the
three months ended March 31, 2019 was partially due to the increase in net loss
during this period of $38.2 million, which was driven by increased payroll and
payroll-related expenses and spending on our clinical and preclinical stage
programs to support overall growth. Cash used in operating activities was also
driven by changes in operating assets and liabilities.
Cash Flows from Investing Activities. The $261.5 million change in cash provided
by (used in) investing activities for the three months ended March 31, 2020 was
primarily due to a decrease in cash used to purchase marketable securities of
$280.3 million, and a decrease of $8.6 million in cash used to purchase
property, plant and equipment, primarily related to the facility in Durham,
North Carolina, partially offset by a decrease of $27.5 million in proceeds
received from the maturity of marketable securities, compared to the three
months ended March 31, 2019.
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Cash Flows from Financing Activities. The $9.3 million decrease in cash provided
by financing activities was driven by a decrease in proceeds from the exercise
of stock options and ESPP contributions in the three months ended March 31, 2020
compared to the three months ended March 31, 2019.
Contractual Obligations and Commitments
Except as discussed in Note 7, Leases, and Note 8, Commitments and
contingencies, in the Notes to Condensed Consolidated Financial Statements,
there have been no material changes to our contractual obligations and
commitments as included in our Annual Report on Form 10-K, which was filed with
the SEC on February 18, 2020. Refer to Note 13, Subsequent events, in the Notes
to Condensed Consolidated Financial Statements for discussion of the May 2020
amendments to the BMS arrangement.
Off-Balance Sheet Arrangements
As of March 31, 2020, we did not have any off-balance sheet arrangements as
defined in the rules and regulations of the SEC.
Item 3. Quantitative and Qualitative Disclosures About Market Risks
We are exposed to market risk related to changes in interest rates. As of
March 31, 2020 and December 31, 2019, we had cash, cash equivalents and
marketable securities of $1.02 billion and $1.24 billion, respectively,
primarily invested in U.S. government agency securities and Treasuries, equity
securities, federally insured certificates of deposit, corporate bonds,
commercial paper and money market accounts invested in U.S. government agency
securities. Our primary exposure to market risk is interest rate sensitivity,
which is affected by changes in the general level of U.S. interest rates,
particularly because our investments are in short-term securities. Our available
for sale securities are subject to interest rate risk and will fall in value if
market interest rates increase. If market interest rates were to increase
immediately and uniformly by 100 basis points, or one percentage point, from
levels at March 31, 2020, the net fair value of our interest-sensitive
marketable securities would have resulted in a hypothetical decline of
approximately $3.0 million.
Item 4. Controls and Procedures
Management's Evaluation of our Disclosure Controls and Procedures
We maintain disclosure controls and procedures that are designed to ensure that
information required to be disclosed in the reports that we file or submit under
the Securities Exchange Act of 1934 is (1) recorded, processed, summarized, and
reported within the time periods specified in the SEC's rules and forms and
(2) accumulated and communicated to our management, including our principal
executive officer and principal financial officer, to allow timely decisions
regarding required disclosure.
As of March 31, 2020, our management, with the participation of our principal
executive officer and principal financial officer, evaluated the effectiveness
of our disclosure controls and procedures (as defined in Rules 13a-15(e) and
15d-15(e) under the Securities Exchange Act of 1934). Our management recognizes
that any controls and procedures, no matter how well designed and operated, can
provide only reasonable assurance of achieving their objectives, and management
necessarily applies its judgment in evaluating the cost-benefit relationship of
possible controls and procedures. Our principal executive officer and principal
financial officer have concluded based upon the evaluation described above that,
as of March 31, 2020, our disclosure controls and procedures were effective at
the reasonable assurance level.
Changes in Internal Control over Financial Reporting
During the quarter ended March 31, 2020 there were no changes in our internal
control over financial reporting, as such term is defined in Rules 13a-15(f) and
15(d)-15(f) promulgated under the Securities Exchange Act of 1934, that have
materially affected, or are reasonably likely to materially affect, our internal
control over financial reporting.
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